You are here

Standards Care Limited Requires improvement

Reports


Inspection carried out on 15 December 2020

During an inspection looking at part of the service

About the service

Standards Care Limited is a domiciliary care service providing personal care for people in their own homes. At the time of the inspection there were eight people receiving the regulated activity.

Not everyone who would use the service would receive personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

People’s experience of using this service and what we found

We were not assured the provider was assessing and managing risks to people’s health, safety and wellbeing effectively. Risks to people were not always assessed and there were not always clear measures in place to manage identified risks. Staff did not have a good understanding of safeguarding people from abuse. Medicines were not managed safely.

The service had adequate measures to manage risks related to infection, including from Covid-19. Incidents were reported; however, it was not always clear what actions were taken to reduce the risk of similar incidents re-occurring.

The service had not always applied best practice or national standards when planning and delivering care. We were not assured appropriate medical advice was always sought, and that professional guidance was available to staff when supporting people.

Though there were adequate policies and procedures in place, people were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and following the requirements of the Mental Capacity Act (MCA). Staff did not always have a good understanding of the application of the MCA.

People’s individual eating and drinking needs and risks related to choking or malnutrition were not fully assessed and planned for safely.

Feedback about care staff approach was mixed, some people and their relatives told us staff were kind and caring, whilst others said it varied between staff. People and their relatives told us they could not always communicate their wishes to staff due to a language barrier.

There were some good examples of people being supported with activities they enjoyed, which promoted their wellbeing. Where there was good continuity of care with a long-standing care worker, they knew people well. However, some people did not have the same carer workers routinely and their care plans did not contain information on their preferences or reflect their individual needs.

The provider had previously identified some of the issues found at this inspection and had started to resolve them. However, we were not assured the provider’s quality and assurance measures were sufficient to identify and quickly resolve quality and safety issues. Records were not always complete or accurate.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 12 July 2018 and this is the first inspection.

Why we inspected

The inspection was prompted in part due the time since the service had registered and concerns the Care Quality Commission (CQC) had received. These included concerns about; the skill, competency and approach of care staff, communication skills and language barriers with care staff, risk management, managing medicines and management oversight of the quality of the service.

A decision was made for us to inspect and examine those risks. As the service had not been previously inspected, it was deemed in the public interest for us to review all key lines of enquiry (KLOEs) in order to rate the service.

We have found evidence that the provider needs to make improvements. Please see the safe, effective, caring, responsive and well-led sections of this full report.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstanc